NPIMap

Organization Active NPI

Med Centro, Inc.

  • Urgent Care Clinic/Center
  • Ponce, PR
National Provider Identifier
1336592195
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
14 Issued in PR
Legal business name
MED CENTRO, INC.
Practice address
1034 Ave. Hostos
Ponce, PR 00716
Phone
(787) 843-9393
Fax
(787) 841-0077
NPI assigned
Jul 18, 2016
Last updated
Jul 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Allan Cintron-Salichs, MBA, MNCM
Title
Executive Director
Phone
(787) 843-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 14 PR Primary

Addresses

Primary practice location

1034 Ave. Hostos
Ponce, PR 00716

Mailing address

PO Box 220
Mercedita, PR 00715-0220
Phone (787) 843-9393

Other names 1

  • Consejo de Salud de Puerto Rico, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031216000213 PR Part B Supplier - Clinic/Group Practice 5890692131 Receives reassigned benefits from 92 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ponce, PR; Villalba, PR; Penuelas, PR; Juana Diaz, PR; Coamo, PR

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Med Centro Inc28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1336592195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150220",
            "telephone_number": "787-843-9393",
            "fax_number": "787-841-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 AVE. HOSTOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-843-9393",
            "fax_number": "787-841-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CENTRO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "CINTRON-SALICHS",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-843-9393",
        "authorized_official_credential": "MBA, MNCM"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "PR",
            "license": "14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consejo de Salud de Puerto Rico, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.